[Papillary muscle rupture in myocardial infarction].

Abstract:

:We report nine patients with acute mitral regurgitation secondary to post-infarction papillary rupture operated between 1980 and 1992. Seven cases had posterior papillary muscle rupture. All patients were in critical conditions with pulmonary edema at the moment of surgery. In eight cases, mitral valve replacement was performed (4 with mechanical prostheses) and in one, the valve was repaired with papillary muscle reimplantation. Six cases were also subjected to myocardial revascularization with sapheneous vein grafts. Two patients (22%) died during the postoperative period and 4 had postoperative complications. The seven survivors have been followed during 6 to 115 month. Of theses, one died six month after surgery due to congestive heart failure, three are in functional class I and the rest in functional class II. It is concluded that, although mitral valve replacement for papillary muscle rupture has a high operative mortality and morbidity, long term results are satisfactory.

journal_name

Rev Med Chil

journal_title

Revista medica de Chile

authors

Zalaquett R,Morán S,Irarrázaval MJ,Becker P,Maturana G,Navarro M,Braun S

subject

Has Abstract

pub_date

1995-02-01 00:00:00

pages

199-206

issue

2

eissn

0034-9887

issn

0717-6163

journal_volume

123

pub_type

杂志文章
  • [Practice of Internal Medicine in Latin America. Role of the internist].

    abstract::This article explores the causes of the crisis in the role of internists. As in the United States, the progressive specialization of internists lead to a dehumanized, expensive and technical practice of medicine. Aiming to better incomes and prestige, more than 60% of internists practice as specialists. Primary care p...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Varela N

    更新日期:2002-01-01 00:00:00

  • [Possible perinatal determinants of morbidity in adult age].

    abstract::Recently, several groups have studied the influence of possible noxious elements present in the intrauterine environment which may favor the development of several diseases in the adult. There is evidence of an increased prevalence of some disorders in special risk groups of fetuses. In the small for gestational age p...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章,评审

    doi:

    authors: Aros S,Cassorla F

    更新日期:2001-03-01 00:00:00

  • [Blood transfusions in Jehovah's witnesses].

    abstract::Jehovah Witnesses cite religious motives to refuse transfusions of whole blood or its components for themselves and their children, even when life is endangered. An ethical analysis of decision making in health problems is made, giving priority to the alternatives chosen by the patient. One of the elements that turns ...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Aguilera P

    更新日期:1993-04-01 00:00:00

  • [Viral etiology of community acquired pneumonia among adults admitted to a general hospital].

    abstract:BACKGROUND:There is paucity of information about viral etiology of community acquired pneumonia in adults. AIM:To investigate the viral etiology of pneumonia among hospitalized patients. MATERIAL AND METHODS:All adults with pneumonia that were hospitalized were prospectively enrolled at Puerto Montt hospital. A micro...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:10.4067/S0034-98872012000800003

    authors: Rioseco Z ML,Riquelme O R,Riquelme O M,Inzunza P C,Oyarzún G P,Agüero O Y,Ferrés G M,Vial C P,Fasce P R,Torres M A

    更新日期:2012-08-01 00:00:00

  • [HIV infection. Diagnosis in the national network of laboratories in Chile].

    abstract::A national network including 114 blood banks and laboratories performs screening for HIV infection on approximately 250,000 blood donors a year. This represents 100% coverage of blood transfusions performed in Chile. Up to December 1990. 4956 samples had been sent to the National Reference Center for AIDS for suppleme...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Sánchez G,Vera L,Soto G,Mora J,Ramírez E

    更新日期:1991-11-01 00:00:00

  • [Familial recurrence of non syndromic cleft lip with or without cleft palate in Chilean populations].

    abstract:BACKGROUND:The presence of major genes in the susceptibility of non syndromic cleft lip with or without cleft palate (CL/P) in Chile has been postulated, considering the high prevalence and familial aggregation of this condition. AIM:To study the familial recurrence of CL/P in Chile. PATIENTS AND METHODS:The recurren...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Palomino H,Guzmán E,Blanco R

    更新日期:2000-03-01 00:00:00

  • [Renal transplantation in patients with neurogenic bladder].

    abstract:BACKGROUND:Renal transplantation can be done in patients with neurogenic bladder and clean intermittent self catheterization maintains renal function AIM:To retrospective assess the results of renal transplantation in patients with neurogenic bladder. PATIENTS AND METHODS:The medical records of seven patients aged 10...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Péfaur J,Aguiló J,Salinas P,Pinto V,Zubieta R,Mocarquer A,Gaete J,Fiabane A

    更新日期:1996-05-01 00:00:00

  • [Reversed halo sign as an unusual manifestation of cryptogenic organized pneumonia. Report of one case].

    abstract::We report a 64 years old female admitted with fever, cough, dyspnea and lung opacities in the chest X ray. A chest tomography scan (CTS) showed multiple-bilateral ring-shaped opacities and the reversed halo sign (RHS). The patient did not improve with antimicrobial therapy (AT). Infection and rheumatologic causes were...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:10.4067/S0034-98872019000500663

    authors: Schiappacasse G,Acevedo A,Martínez R,Escobar J,Hernández A,Pires Y

    更新日期:2019-05-01 00:00:00

  • [A collaborative objective structured clinical examination for title revalidation by foreign medical graduates in Chile].

    abstract:BACKGROUND:Title revalidation of foreign medical graduates to practice medicine in Chile is a complex and expensive process. According to the legislation they are required to approve the Unique National Exam of Medical Knowledge (EUNACOM), which has a theoretical and a practical section. AIM:To demonstrate that a coll...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:10.4067/s0034-98872018000200232

    authors: Kunakov P N,Moraga L,Ortiz L

    更新日期:2018-02-01 00:00:00

  • [Measurement of the carbon footprint at a regional hospital].

    abstract:BACKGROUND:Measuring the carbon footprint (CF) makes it possible to estimate the contribution of clinical activity to global warming. AIM:To measure the emitter components of CO2 equivalents (CO2e) at the Hospital Base, Puerto Montt (HBPM). MATERIAL AND METHODS:Descriptive study with data collected retrospectively be...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:10.4067/s0034-98872018001201384

    authors: Balkenhol M,Castillo A,Soto M,Feijoo M,Merino W

    更新日期:2018-12-01 00:00:00

  • [Hemoptysis as the initial manifestation of Behçet's disease. Report of two cases].

    abstract::Arterial involvement in Behçet's disease (BD) is less common than venous lesions. The most commonly affected arteries are: the aorta, lower extremity arteries, mesenteric, femoral, coronary, renal, subclavian and pulmonary arteries. The rupture of pulmonary arteries is the main cause of death of patients with EB and t...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:10.4067/s0034-98872018000400528

    authors: Abarca M,Santamarina M,Vergara C,Vega J

    更新日期:2018-04-01 00:00:00

  • [Spontaneous bacterial peritonitis: a frequent and recurrent complication in cirrhotic patients with ascites].

    abstract::One hundred and twenty consecutive patients with liver cirrhosis and ascites were prospectively studied in order to analyze the frequency, clinical and bacteriological features, recurrence, and prognosis of spontaneous bacterial peritonitis (SBP). Two variants of SBP were defined: culture positive SBP and culture nega...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Chesta J,Brahm J,Poniachik J,Latorre R,Hurtado C,Novoa X,Velasco M

    更新日期:1991-03-01 00:00:00

  • [Selective use of glucocorticoids during the perioperative period of transsphenoidal surgery for pituitary tumors].

    abstract:BACKGROUND:There is consensus in promoting the selective use of glucocorticoids (GC) in the peri-operative period of transsphenoidal surgery (TE) for pituitary adenomas (PA). AIM:To evaluate the safety of a selective glucocorticoid administration protocol and the usefulness of immediate postoperative cortisol levels a...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:10.4067/S0034-98872014000900004

    authors: Carrasco CA,Villanueva G P

    更新日期:2014-09-01 00:00:00

  • [Referral to rehabilitation services of patients discharged from a general hospital with a potentially disabling condition].

    abstract::Background Patients discharged from general hospitals with a potentially disabling condition can benefit in their recovery with the aid of physical medicine and rehabilitation services. Aim To determine the proportion of patients discharged from a general hospital with a potentially disabling condition, who were deriv...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:10.4067/s0034-98872017001201541

    authors: Hofmann U N,Paolinelli G C,Castro L A

    更新日期:2017-12-01 00:00:00

  • [Comparative study of the frequency and features of emotional disturbances in patients in primary care clinics].

    abstract:BACKGROUND:Psychological problems are a frequent cause of consultation in primary care outpatient clinics. AIM:To report the results for Santiago de Chile of the World Health Organisation multicentric collaborative study on Psychological Symptoms in General Health Care. PATIENTS AND METHODS:The results of 1453 patien...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章,评审

    doi:

    authors: Florenzano R,Acuña J,Fullerton C,Castro C

    更新日期:1998-04-01 00:00:00

  • [Scientific ethics and frozen embryos].

    abstract:BACKGROUND:Scientific Ethics is the theory and praxis of decisions. Philosophical Ethics is presented as the theory and praxis of the good. As the good differs among cultures, Philosophical Ethics is dependent on the endo-cultural good conception. The decision (included that one of adhesion or not to a world vision) de...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Valenzuela CY

    更新日期:2001-05-01 00:00:00

  • [Situation of HIV/AIDS in Latin America at the end of XX century. Analysis of differences between countries].

    abstract::The aim of this article is to analyze the current situation of AIDS in Latin American countries. Specifically, to compare their situation with other geographic areas of the planet, the prevalence index per countries, distribution per sex and age and, finally, the main ways of transmission in each country. The most rec...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章,评审

    doi:

    authors: Buela-Casal G,Bermúdez MP,Sánchez AI,De los Santos-Roig M

    更新日期:2001-08-01 00:00:00

  • [Delayed hypersensitivity to evoked antigens: normal values in Chilean young adults].

    abstract::Delayed hypersensitivity skin test are widely accepted as in vivo measure of cellular immunity. Since genetic and environmental factors may affect these tests, each population must establish its own normal values. The aim of this work was to study delayed hypersensitivity in Chilean normal young adults. We studied the...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Jurlow E,Orvieto M,Guerrero J,Bezanilla CG,Cox P,Cartier E,Silva M

    更新日期:1996-01-01 00:00:00

  • [Chronic intermittent peritoneal dialysis: a 12-year experience].

    abstract::Since 1981, we have treated 46 adults aged 56 +/- 21 years, of whom 17 were diabetic, with intermittent peritoneal dialysis. Their mean time on dialysis has been 21 months with an accumulated experience of 493 months/patient. The program included 2 dialyses per week, 25 exchanges of 21 per session and 30 min of dwell ...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: García R,Gómez M,Olea C,Cuadros K

    更新日期:1995-04-01 00:00:00

  • [Multiple splenic abscesses. Report of 2 cases].

    abstract::Splenic abscesses are infrequent and usually associated to sepsis and immunodepression. The diagnosis is commonly made in the necropsy. We report two cases of multiple splenic abscesses in type II diabetic patients that were diagnosed by ultrasound. Both patients were successfully managed with surgery (drainage of lef...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Gatica MA,Morales H,Harz C,Espinoza A

    更新日期:1993-05-01 00:00:00

  • [Knowledge among physicians of the main cause of death in women].

    abstract:BACKGROUND:There is a misconception that the main cause of death among women is breast cancer, even among physicians, who may neglect cardiovascular preventive measures in this gender Aim: To assess the knowledge among physicians about the main cause of death among women. MATERIAL AND METHODS:A survey was answered by ...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:10.4067/S0034-98872018001001167

    authors: Fernández M,Parra M,Calligaris S,Parada V,Ojeda MJ,Quiroz S,Carreño C

    更新日期:2018-12-01 00:00:00

  • [Characteristics and results of breast cancer in elderly females treated with curative intent].

    abstract:BACKGROUND:Aging is the main risk factor to acquire breast cancer (BC). Nevertheless BC in elderly patients is sub-represented in clinical trials. AIM:To describe the clinical characteristics and long term treatment results of localized BC in older women. MATERIAL AND METHODS:Review of medical records of 65 women age...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:10.4067/S0034-98872013001200006

    authors: Sánchez R C,Bakal I F,Camus A M,Besa de C P

    更新日期:2013-12-01 00:00:00

  • [Prevalence of psychiatric disorders in men and women hospitalized in a internal medicine service of a hospital of Santiago, Chile].

    abstract:BACKGROUND:Mental disorders may interfere, aggravate or mimic medical conditions. AIM:To study the prevalence of psychiatric disorders among patients hospitalized in a medical ward of a general hospital. PATIENTS AND METHODS:A structured interview for DSM-III, devised for "non patients", was applied to 203 men and 20...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Hernández G,Ibáñez C,Kimelman M,Orellana G,Montino O,Núñez C

    更新日期:2001-11-01 00:00:00

  • [Recent case law about the right to die].

    abstract::This paper reviews the sentences dictated between 1993 and 2002 by the Supreme Courts of Canada and the Unites States, the House of Lords and Supreme Court of the United Kingdom and the European Human Rights Court, about the validity of the legal prohibition of assistance for suicide. These sentences constituted a jud...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章,评审

    doi:10.4067/S0034-98872016000400009

    authors: Bascuñán R A

    更新日期:2016-04-01 00:00:00

  • [Frequency of oral squamous cell carcinoma and oral epithelial dysplasia in oral and oropharyngeal mucosa in Chile].

    abstract:BACKGROUND:Oral cancer in Chile corresponds approximately to 1.6% of all cancer cases. There are few studies about oral epithelial dysplasia and oral squamous cell carcinoma in the Chilean population. AIM:To determine the frequency of hyperkeratosis, mild, moderate and severe oral epithelial dysplasia, in situ carcino...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:10.4067/S0034-98872016000200004

    authors: Martínez C,Hernández M,Martínez B,Adorno D

    更新日期:2016-02-01 00:00:00

  • [Genetic polymorphism of isoniazid acetylation in Chilean patients with tuberculosis].

    abstract::We studied genetic polymorphism of isoniazid acetylation in 47 tuberculous patients treated with 4 drugs between Aug 1987 and Dec 1988. Inactivation of isoniazid was estimated from urine samples after administration of the drug (10 mg/kg). There were 18 slow and 29 fast acetylators. The frequency of the slow mutant ge...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Ligueros M,Cruz Coke R,Neira S,Saavedra H,Kramer V,Prieto JC,Gelman M,Saavedra A,Nuñez A,Pescio S

    更新日期:1989-12-01 00:00:00

  • [Treatment of refractory ascites using a transjugular intrahepatic portosystemic shunt (TIPS). Clinical case].

    abstract::Approximately, 10% of cirrhotic patients with ascites become refractory to medical treatment, a condition that reduces overall survival. TIPS is a therapeutic alternative for the management of refractory ascites. It corrects sinusoidal portal hypertension, becoming a rational and relatively safe therapeutic approach. ...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章,评审

    doi:

    authors: Zapata R,Fava M

    更新日期:1999-10-01 00:00:00

  • [Fascioliasis in populations of rural areas with high prevalence of animal infection].

    abstract::Between January 1986 and December 1990 the prevalence of F. hepatica infection was studied in 5861 rural inhabitants of the provinces of Curico, Talca and Linares, VII Region, an hyperendemic zone of animal fascioliasis. Every one was screened by intradermal (IDR), complement fixation (CF), double diffusion (DD) count...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Apt W,Aguilera X,Vega F,Zulantay I,Retamal C,Apt P,Sandoval J

    更新日期:1992-06-01 00:00:00

  • [Cerebrovascular disease in a Neurologic Intermediate Care Unit in Chile. Analysis of 459 consecutive patients].

    abstract:BACKGROUND:Stroke is the second cause of mortality and the first cause of morbidity in Chile and worldwide. Nowadays there is a major interest in introducing new therapies applying evidence based medicine for these patients. AIM:To describe the clinical profile of patients attended after a stroke, to determine stroke ...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:10.4067/s0034-98872005001100002

    authors: Mellado T P,Court L J,Godoy F J,Mery C V,Barnett T C,Andresen H M,Huete L I,Tevah C J,Tomicic F V,Romero P C,Fadic R R,Soza M MA,Valenzuela M R,Tapia I J

    更新日期:2005-11-01 00:00:00

  • [Hydrostatic reduction of intestinal intussusception in children. Experience in 43 cases].

    abstract:BACKGROUND:Intestinal intussusception, a medical emergency, is more commonly idiopathic and ileocolic and occurs with higher frequency in children aged 6 months to 2 years. Barium enema confirms the diagnosis and allows its hydrostatic reduction, that is the treatment of choice of this condition. AIM:To report our exp...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: García C,Flores P,Zúñiga S,Accorsi E,Monsalva R,Lastra M,Montes P

    更新日期:1997-01-01 00:00:00